Endovascular and Thrombolytic Therapy and the Functional Status of Patients after Ischemic Stroke
Introduction. Stroke is treated as a direct threat to life. Mechanical thrombectomy used as an independent treatment or in combination with systemic thrombolysis is currently the standard care in the treatment of ischemic stroke. Aim. Evaluation of the functional status of patients after ischemic st...
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| Format: | Article |
| Language: | English |
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Państwowa Akademia Nauk Stosowanych we Włocławku
2019-06-01
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| Series: | Pielęgniarstwo Neurologiczne i Neurochirurgiczne |
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| Online Access: | https://apcz.umk.pl/PNIN/article/view/38121 |
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| author | Renata Jabłońska Anna Wronkowska Robert Ślusarz Karolina Filipska Grzegorz Meder Paweł Sokal |
| author_facet | Renata Jabłońska Anna Wronkowska Robert Ślusarz Karolina Filipska Grzegorz Meder Paweł Sokal |
| author_sort | Renata Jabłońska |
| collection | DOAJ |
| description | Introduction. Stroke is treated as a direct threat to life. Mechanical thrombectomy used as an independent treatment or in combination with systemic thrombolysis is currently the standard care in the treatment of ischemic stroke.
Aim. Evaluation of the functional status of patients after ischemic stroke treated with thrombolysis or thrombectomy.
Material and Methods. The study involved 50 patients hospitalized due to ischemic stroke. Standardized research tools were used: the Rankin scale, the Barthel scale and the Functional Index “Repty” (WFR). The study was conducted twice in one patient: on the first and ninth day after the treatment. The collected material was developed statistically.
Results. Most of the respondents were men — 62%. Thrombolytic treatment was used in all subjects, and thrombectomy in 26% people. Analyses showed that there were differences in the Barthel scale level Z = 4.87; p < 0.001, Rankin Z = 4.80; p < 0.001 and WFR Z = 4.83; p < 0.001. The age of the respondents was related negatively to the Barthel scale score on the 1st day = -0.51; p < 0.001 and the 9th day = -0.53; p < 0.001 and the result in the WFR scale on the 1st day = -0.54; p < 0.001 and the 9th day = -0.52; p < 0.001.
Conclusions. The performance of the subjects on the 1st day of treatment was worse than on the 9th day. People who were only treated with thrombolysis had better results in fitness tests and had a lower level of disability than people treated with thrombolysis and thrombectomy. (JNNN 2019;8(2):69–77) |
| format | Article |
| id | doaj-art-e0c72f6a05f0400d9fb37f60b1092716 |
| institution | OA Journals |
| issn | 2084-8021 2299-0321 |
| language | English |
| publishDate | 2019-06-01 |
| publisher | Państwowa Akademia Nauk Stosowanych we Włocławku |
| record_format | Article |
| series | Pielęgniarstwo Neurologiczne i Neurochirurgiczne |
| spelling | doaj-art-e0c72f6a05f0400d9fb37f60b10927162025-08-20T02:33:55ZengPaństwowa Akademia Nauk Stosowanych we WłocławkuPielęgniarstwo Neurologiczne i Neurochirurgiczne2084-80212299-03212019-06-0182697710.15225/PNN.2019.8.2.433723Endovascular and Thrombolytic Therapy and the Functional Status of Patients after Ischemic StrokeRenata Jabłońska0Anna Wronkowska1Robert Ślusarz2Karolina Filipska3Grzegorz Meder4Paweł Sokal5Neurological and Neurosurgical Nursing Department, Faculty of Health Science, Collegium Medicum, Nicolaus Copernicus University, Toruń, Poland Department of Neurosurgery and Neurology, Neurosurgery and Neurotraumatology Ward, University Hospital no. 2 in Bydgoszcz, PolandDepartment of Neurosurgery and Neurology, Neurosurgery and Neurotraumatology Ward, University Hospital no. 2 in Bydgoszcz, PolandNeurological and Neurosurgical Nursing Department, Faculty of Health Science, Collegium Medicum, Nicolaus Copernicus University, Toruń, PolandNeurological and Neurosurgical Nursing Department, Faculty of Health Science, Collegium Medicum, Nicolaus Copernicus University, Toruń, PolandDepartment of Interventional Radiology, University Hospital no. 2 in Bydgoszcz, PolandDepartment of Neurosurgery and Neurology, Neurosurgery and Neurotraumatology Ward, University Hospital no. 2 in Bydgoszcz, PolandIntroduction. Stroke is treated as a direct threat to life. Mechanical thrombectomy used as an independent treatment or in combination with systemic thrombolysis is currently the standard care in the treatment of ischemic stroke. Aim. Evaluation of the functional status of patients after ischemic stroke treated with thrombolysis or thrombectomy. Material and Methods. The study involved 50 patients hospitalized due to ischemic stroke. Standardized research tools were used: the Rankin scale, the Barthel scale and the Functional Index “Repty” (WFR). The study was conducted twice in one patient: on the first and ninth day after the treatment. The collected material was developed statistically. Results. Most of the respondents were men — 62%. Thrombolytic treatment was used in all subjects, and thrombectomy in 26% people. Analyses showed that there were differences in the Barthel scale level Z = 4.87; p < 0.001, Rankin Z = 4.80; p < 0.001 and WFR Z = 4.83; p < 0.001. The age of the respondents was related negatively to the Barthel scale score on the 1st day = -0.51; p < 0.001 and the 9th day = -0.53; p < 0.001 and the result in the WFR scale on the 1st day = -0.54; p < 0.001 and the 9th day = -0.52; p < 0.001. Conclusions. The performance of the subjects on the 1st day of treatment was worse than on the 9th day. People who were only treated with thrombolysis had better results in fitness tests and had a lower level of disability than people treated with thrombolysis and thrombectomy. (JNNN 2019;8(2):69–77)https://apcz.umk.pl/PNIN/article/view/38121strokethrombolysisthrombectomyfunctioning |
| spellingShingle | Renata Jabłońska Anna Wronkowska Robert Ślusarz Karolina Filipska Grzegorz Meder Paweł Sokal Endovascular and Thrombolytic Therapy and the Functional Status of Patients after Ischemic Stroke Pielęgniarstwo Neurologiczne i Neurochirurgiczne stroke thrombolysis thrombectomy functioning |
| title | Endovascular and Thrombolytic Therapy and the Functional Status of Patients after Ischemic Stroke |
| title_full | Endovascular and Thrombolytic Therapy and the Functional Status of Patients after Ischemic Stroke |
| title_fullStr | Endovascular and Thrombolytic Therapy and the Functional Status of Patients after Ischemic Stroke |
| title_full_unstemmed | Endovascular and Thrombolytic Therapy and the Functional Status of Patients after Ischemic Stroke |
| title_short | Endovascular and Thrombolytic Therapy and the Functional Status of Patients after Ischemic Stroke |
| title_sort | endovascular and thrombolytic therapy and the functional status of patients after ischemic stroke |
| topic | stroke thrombolysis thrombectomy functioning |
| url | https://apcz.umk.pl/PNIN/article/view/38121 |
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